Ambulatory Services Representative II
About The Position
The Ambulatory Services Representative II supports the clinical practice, focusing on billing and managed care functions such as charge entry, billing edits, charge reconciliations, responding to billing inquiries, communicating with insurance carriers, and investigating billing discrepancies. The role may also provide front-end customer service, patient registration, insurance and coverage verification, and other administrative support as needed. The position supports the Hematology - Oncology Clinic on a per diem schedule. Duties include administrative and physician support, patient reception and registration, appointment scheduling, referral coordination, insurance verification, and related practice operations. The incumbent is expected to adhere to BMC’s RESPECT behavioral standards.
Requirements
- High school diploma or GED and 3 or more years of relevant experience; or a bachelor's degree; or an associate degree and 1 year of relevant experience.
- Excellent oral and written English communication and interpersonal skills to interact courteously and with a patient-focused approach.
- Demonstrated customer service skills, including sound judgment, independent thinking, and creativity when resolving customer issues.
- Ability to maintain strict confidentiality of personal and health-sensitive information.
- Ability to handle challenging situations effectively and balance multiple priorities.
- Strong computer skills, including Microsoft Office applications (Word, Excel, Access, and PowerPoint) and web/internet use.
- Experience with standard hospital registration and billing systems, or the ability to learn such systems.
Nice To Haves
- Experience with medical billing or a similar setting.
Responsibilities
- Perform charge entry, batch controls, billing (TES) edits, hold-bill edits, and charge reconciliations.
- Support billing and managed care functions, including responding to billing inquiries, corresponding with insurance carriers, and investigating discrepancies.
- Provide general administrative support using word processing, spreadsheets, and presentation software to create and edit department documents and presentations.
- Support physicians and the department by managing calendars, scheduling administrative appointments, answering departmental calls, and handling credentialing documents.
- Provide reception and customer service.
- Create or verify Master Patient Index (MPI) records and manage registration demographics and visits.
- Schedule appointments, including consultations, tests, in-office procedures, follow-up visits, and coordination with interpreters, social services, and radiology.
- Verify insurance and coverage, collect co-payments, and review and correct registration and insurance edits.
- Perform pre-authorization, referral coordination, referral reconciliation, and referral work-list tasks.
- Handle phones and mail; complete forms; file, photocopy, and fax materials; and prepare letters and reports.
- Adhere to BMC’s RESPECT behavioral standards.
Benefits
- Medical, dental, vision, and pharmacy benefits
- Contract increases
- Flexible Spending Accounts
- 403(b) savings matches
- Earned time cash out
- Paid time off
- Career advancement opportunities
- Resources to support employee and family wellbeing
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What This Job Offers
Education Level
High school or GED
